Organization
BUENO WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY P BUENO NP-C (FNP)
(432) 614-9298
Entity
Organization
Contact information
Practice address
511 W 8TH ST STE 201, ODESSA, TX 79761-4406
(432) 614-9298
(432) 614-9357
Mailing address
511 W 8TH ST STE 201, ODESSA, TX 79761-4406
(432) 614-9298
(432) 614-9357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18686903
—
TX
Enumeration date
01/27/2020
Last updated
01/27/2020
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